Individual provider Active NPI

Sophia Merdian

  • Speech-Language Pathologist
  • Conroe, TX
National Provider Identifier
1548022445
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
121017 Issued in TX
Practice address
11133 Interstate 45 S Ste 190
Conroe, TX 77302-5834
Phone
(936) 494-0570
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 121017 TX Primary

Addresses

Primary practice location

11133 Interstate 45 S Ste 190
Conroe, TX 77302-5834

Mailing address

11133 Interstate 45 S Ste 190
Conroe, TX 77302-5834
Phone (936) 494-0570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116002474 TX Practitioner - Qualified Speech Language Pathologist 1557899697 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121017TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Speech Therapy Services LLC Speech-Language Pathologist CurrentSince Jan 14, 2025 Accepting new patients

Locations

11133 Interstate 45 S
Conroe, TX 77302
Phone (936) 494-0570

11133 Interstate 45 S
Ste 190
Conroe, TX 77302
Phone (936) 494-0570

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1548022445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11133 INTERSTATE 45 S STE 190",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773025834",
            "telephone_number": "936-494-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 INTERSTATE 45 S STE 190",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773025834",
            "telephone_number": "936-494-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERDIAN",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.